Satya S Sardonicus, DC

Primary specialty

Pediatric ChiropractorTaxonomy code 111NP0017X

License

5555 Issued in OR

Practice address

601 SW Arboretum Cir
Portland, OR 97221-2754

Phone

(503) 395-4517

NPI assigned

Jan 27, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439078400000",
    "number": "1972809770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 SW ARBORETUM CIR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212754",
            "telephone_number": "503-395-4517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 SW ARBORETUM CIR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212754",
            "telephone_number": "503-395-4517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARDONICUS",
        "first_name": "SATYA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-27",
        "last_updated": "2015-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4155",
            "primary": false
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "NH",
            "license": "884",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "884",
            "primary": false
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "OR",
            "license": "5555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Siwi S Saraswati, DNP-FNP
• Estuardo Jose Saravia Fernandez, M.D.
• Michelle Sarchiapone
• Atrin Sardarian
• James Matthew Sardo, PH.D.
• Kevin P Sargeant, M.D.
• Sargent Therapeutic Massage
• David James Sargent, MD
• Rachel Sargent, LMT
• Michelle C Sargenti, LPC

• Pediatric Chiropractor in Portland, OR
• Providers in Portland, OR by specialty
• Pediatric Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.